NPIMap

Organization Active NPI

Neogenesis Foundation

  • Preferred Provider Organization
  • Winterville, NC
National Provider Identifier
1669712063
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
NEOGENESIS FOUNDATION
Practice address
3959 Sterling Pointe Dr
Winterville, NC 28590-5800
Phone
(252) 695-8049
NPI assigned
Feb 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daniel Moore
Title
Manager/Business Director
Phone
(252) 695-8049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

3959 Sterling Pointe Dr
Winterville, NC 28590-5800

Mailing address

3959 Sterling Pointe Dr
Winterville, NC 28590-5800

National Provider Directory

National Provider Directory
Tax ID family
Neogenesis Foundation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1669712063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 STERLING POINTE DR",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285905800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 STERLING POINTE DR",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285905800",
            "telephone_number": "252-695-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEOGENESIS FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MANAGER/BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "252-695-8049"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winterville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.